Comments on: Thinking about the future of healthcare http://www.adaptstrat.com/blog/index.php/thinking-about-the-future-of-healthcare We Help Managers Make a Difference Sat, 19 Nov 2011 21:26:40 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Bill Welter http://www.adaptstrat.com/blog/index.php/thinking-about-the-future-of-healthcare/comment-page-1#comment-323 Bill Welter Mon, 25 May 2009 23:13:24 +0000 http://www.adaptstrat.com/blog/?p=95#comment-323 Beth, Thanks for your insights. The healthcare issue is so darn BIG, but I think that the professionals on the "inside" have to take a more proactive stance. Otherwise, outside infleunces (politics) will twist the system in ways we don't want or need. Stay tuned, I'm going to comment more about healthcare in the weeks to come. Bill Beth,
Thanks for your insights. The healthcare issue is so darn BIG, but I think that the professionals on the “inside” have to take a more proactive stance. Otherwise, outside infleunces (politics) will twist the system in ways we don’t want or need. Stay tuned, I’m going to comment more about healthcare in the weeks to come.
Bill

]]> By: Beth Hughes http://www.adaptstrat.com/blog/index.php/thinking-about-the-future-of-healthcare/comment-page-1#comment-320 Beth Hughes Sun, 24 May 2009 22:53:41 +0000 http://www.adaptstrat.com/blog/?p=95#comment-320 I enjoyed reading your vignettes (Bob Clarke passed it on to me). I passionately believe that there can be no healthcare reform or substantial cost reduction unitl and unless we align the physian and hospital agenda/economics. In studying the length of stay patterns in our orgnanization recently, we discovered that we were not performing to the geometric length of stay for commercial and Medicare patients but when we looked at the performance of our LOS in Medicaid, we were performing below the GMLOS. Coincidense.....I think not. Looking forward to your book. BH I enjoyed reading your vignettes (Bob Clarke passed it on to me). I passionately believe that there can be no healthcare reform or substantial cost reduction unitl and unless we align the physian and hospital agenda/economics. In studying the length of stay patterns in our orgnanization recently, we discovered that we were not performing to the geometric length of stay for commercial and Medicare patients but when we looked at the performance of our LOS in Medicaid, we were performing below the GMLOS. Coincidense…..I think not. Looking forward to your book. BH

]]> By: Bill Welter http://www.adaptstrat.com/blog/index.php/thinking-about-the-future-of-healthcare/comment-page-1#comment-313 Bill Welter Thu, 14 May 2009 20:44:48 +0000 http://www.adaptstrat.com/blog/?p=95#comment-313 Wilson, The healthcare system is going to change significantly in the coming couple of years and many people are going to be upset that they don't understand it any more. We will have no choice but to take the time to relearn our part of the system. Thanks for you comment. Bill Wilson,
The healthcare system is going to change significantly in the coming couple of years and many people are going to be upset that they don’t understand it any more. We will have no choice but to take the time to relearn our part of the system. Thanks for you comment.
Bill

]]> By: Wilson Pon http://www.adaptstrat.com/blog/index.php/thinking-about-the-future-of-healthcare/comment-page-1#comment-312 Wilson Pon Thu, 14 May 2009 09:06:05 +0000 http://www.adaptstrat.com/blog/?p=95#comment-312 Bill, I agreed with your opinions here. I've read the “Medicare Won’t Pay Hospitals for Errors” and “A doctor in your pocket”. These two articles were brilliant, as there are many things that we've been neglected in our life. Due to this circumstance, we're very ignorant, especially when we're coming into our health's rights! Bill, I agreed with your opinions here. I’ve read the “Medicare Won’t Pay Hospitals for Errors” and “A doctor in your pocket”. These two articles were brilliant, as there are many things that we’ve been neglected in our life. Due to this circumstance, we’re very ignorant, especially when we’re coming into our health’s rights!

]]> By: Bill Welter http://www.adaptstrat.com/blog/index.php/thinking-about-the-future-of-healthcare/comment-page-1#comment-304 Bill Welter Wed, 06 May 2009 12:17:44 +0000 http://www.adaptstrat.com/blog/?p=95#comment-304 Bob, thanks for the comments and insights. Unlike soemthing like automotive manufacturing, best practices cannot be applied "as-is." they will take examination and reflection by the people closest to the "action"; that is, those closest to the patients and caregivers. Bill Bob,
thanks for the comments and insights. Unlike soemthing like automotive manufacturing, best practices cannot be applied “as-is.” they will take examination and reflection by the people closest to the “action”; that is, those closest to the patients and caregivers.
Bill

]]> By: Bob Clarke http://www.adaptstrat.com/blog/index.php/thinking-about-the-future-of-healthcare/comment-page-1#comment-303 Bob Clarke Wed, 06 May 2009 02:31:49 +0000 http://www.adaptstrat.com/blog/?p=95#comment-303 Bill .. you provide several vastly different examples all of which point to a similar issue. How leadership adapts to change, or rather embraces it, will have profound impacts of health care that is our future. Unlike most "products" or technological advancements, health care is still a highly personal and often times intrusive process. Clearly there are identified problems in our system (access, cost, financing, patient focus) but I have yet to see the perfect solution. I applaud those that are leading change and taking risks on most if not all of those fronts. Being proactive and adaptive will certainly lead us toward solutions in the long term. Bill .. you provide several vastly different examples all of which point to a similar issue. How leadership adapts to change, or rather embraces it, will have profound impacts of health care that is our future. Unlike most “products” or technological advancements, health care is still a highly personal and often times intrusive process. Clearly there are identified problems in our system (access, cost, financing, patient focus) but I have yet to see the perfect solution. I applaud those that are leading change and taking risks on most if not all of those fronts. Being proactive and adaptive will certainly lead us toward solutions in the long term.

]]> By: Bill Welter http://www.adaptstrat.com/blog/index.php/thinking-about-the-future-of-healthcare/comment-page-1#comment-302 Bill Welter Tue, 05 May 2009 13:31:50 +0000 http://www.adaptstrat.com/blog/?p=95#comment-302 Fred, You hit on a couple of good points. I interviewed Dr. Bridget Duffy, the chief experience officer at Cleveland Clinic and she hit hard on the need for the total hospital experience to be satisfactory. Regarding twittering from surgery, although it seems like a good way to keep the family posted, we will have to see what the legal risks are in doing this. All in all, I'm finding a very wide range of issues and need for broader thinking as we look at "reforming" healthcare (whatever that eventually comes to mean.) Thanks for the comments. I appreciate your insights. Bill Fred,
You hit on a couple of good points. I interviewed Dr. Bridget Duffy, the chief experience officer at Cleveland Clinic and she hit hard on the need for the total hospital experience to be satisfactory. Regarding twittering from surgery, although it seems like a good way to keep the family posted, we will have to see what the legal risks are in doing this.
All in all, I’m finding a very wide range of issues and need for broader thinking as we look at “reforming” healthcare (whatever that eventually comes to mean.)
Thanks for the comments. I appreciate your insights.
Bill

]]> By: Fred H Schlegel http://www.adaptstrat.com/blog/index.php/thinking-about-the-future-of-healthcare/comment-page-1#comment-301 Fred H Schlegel Tue, 05 May 2009 13:06:25 +0000 http://www.adaptstrat.com/blog/?p=95#comment-301 Great list of articles here Bill. You've peaked my interest in the Christensen book - if only to understand what he thinks stopped the innovation. It is also interesting how important defining what 'outcome' actually means as we head towards reform. There seems to be a bit of a movement on to focus on outcomes and mistakes, whereas the Cleveland article focuses on patient opinion. My guess is that there may be a big difference between 'patient satisfaction' and 'outcomes focus.' The service offered by hospitals and healthcare is so personal, decisions so individualized that the most important factor for satisfaction might be increased interaction - which may have no real effect on outcomes at all. In work I have done for the rehab and nursing facilities much patient dissatisfaction seemed to be related to staff that was stretched so thin that little personal interaction could develop. And twittering from surgery! Hmm. That would be better than having to sit in a waiting room knowing nothing for 6 hours. <abbr><em>Fred H Schlegel’s last blog post..<a href="http://feedproxy.google.com/~r/frogblog/yTub/~3/iMtu88R6iNA/" rel="nofollow">Physics and Ideation: Customer Entanglement</a></abbr></em> Great list of articles here Bill. You’ve peaked my interest in the Christensen book – if only to understand what he thinks stopped the innovation.
It is also interesting how important defining what ‘outcome’ actually means as we head towards reform. There seems to be a bit of a movement on to focus on outcomes and mistakes, whereas the Cleveland article focuses on patient opinion.
My guess is that there may be a big difference between ‘patient satisfaction’ and ‘outcomes focus.’ The service offered by hospitals and healthcare is so personal, decisions so individualized that the most important factor for satisfaction might be increased interaction – which may have no real effect on outcomes at all.
In work I have done for the rehab and nursing facilities much patient dissatisfaction seemed to be related to staff that was stretched so thin that little personal interaction could develop.
And twittering from surgery! Hmm. That would be better than having to sit in a waiting room knowing nothing for 6 hours.

Fred H Schlegel’s last blog post..Physics and Ideation: Customer Entanglement

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